Southern Endoscopy Suite, Llc in Lawrenceville - Endoscopy
Southern Endoscopy Suite, Llc - NPI 1215986609
Southern Endoscopy Suite, Llc is a Endoscopy in Lawrenceville, Georgia. Southern Endoscopy Suite, Llc practices all healthcare services and medical treatments related to Endoscopy. The NPI Number for Southern Endoscopy Suite, Llc is 1215986609. The last update date is 2017-11-28.
Southern Endoscopy Suite, Llc's current location address is 763 Old Norcross Rd, Lawrenceville, Georgia. You can contact this provider via phone number 6789852000 and fax number 6789851999. The mailing address for Southern Endoscopy Suite, Llc is 763 Old Norcross Rd, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Endoscopy Suite, Llc |
|---|---|
| Address | 763 Old Norcross Rd, Lawrenceville, Georgia |
| Phone Number | 6789852000 |
| Fax Number | 6789851999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kukler B. Mark |
| Credentials | D.O., |
| Telephone Number | 6789852000 |
NPI Number Detail
| NPI Number | 1215986609 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2017-11-28 |
Provider Mailing Address Detail
| Address | 763 Old Norcross Rd |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300454317 |
| Phone Number | 6789852000 |
| Fax Number | 6789851999 |
Provider's Primary Taxonomy Detail
| Speciality | Endoscopy |
|---|---|
| Taxonomy | 261Qe0800X |
| Licence No | 067-200 |
|
Definition: Examines internal organs and cavities using an endoscope inserted through small incisions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Southern Endoscopy Suite, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Southern Endoscopy Suite, Llc has been assigned the NPI (National Provider Identifier) 1215986609. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Southern Endoscopy Suite, Llc is physically located?
The Southern Endoscopy Suite, Llc is physically situated at the following address: 763 Old Norcross Rd, Lawrenceville, GA, 300454317.
What is Southern Endoscopy Suite, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southern Endoscopy Suite, Llc's specialized field of practice is Endoscopy, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0800X.
On what date did Southern Endoscopy Suite, Llc receive its 1215986609 assignment from the Centers for Medicare & Medicaid Services?
The Southern Endoscopy Suite, Llc was assigned its 1215986609 on 2006-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Southern Endoscopy Suite, Llc last refreshed?
The information related to the Southern Endoscopy Suite, Llc, including its address, specialty, and other relevant details, was last updated on 2017-11-28.